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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RICHARD E. DIETZEN, M.D.,P.A.

Active Organization

RICHARD E. DIETZEN, M.D.,P.A. is a Medical Specialty Clinic organization located in EL DORADO, Arkansas. NPI 1174738397 is currently active in the NPPES registry. Verify at CMS.

Medical Specialty Clinic · EL DORADO, AR

Registration Details

NPI Number
1174738397
Provider Type
Organization
NPI Issued
May 11, 2007 (19.293883542847 yrs)
Last Updated
Jan 18, 2008
License
E-1069 (AR)

Practice Information

Address
403 W OAK ST
SUITE 302
EL DORADO, AR, 717304586
Browse AR providers · Browse ZIP 71730
Phone
8708636444
Fax
8708636675
Primary Specialty
Medical Specialty Clinic
261QM2500X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.